Ilizarov zida, ambiri molakwika otchedwa 'makina Elizarova'

Ilizarov zida (ena icho "chipangizo Elizarova") kwa nthawi yaitali ndipo chimagwiritsidwa ntchito traumatology. M'nkhaniyi, tiona zomwe ndi Ilizarov zida ndi pamene ntchito. Posamalira ndi zomwe mavuto angayambe ntchito kapangidwe.

Ilizarov zida, ambiri akunena "Elizarova zida" Ichi nchiyani?

chipangizo kupangidwa mu 1953, wasayansi wamkulu, dokotala Ilizarov. Kuyambira pamenepo, chifukwa zinthu zimenezi, anayamba nyengo ina mu zamafupa ndi traumatology.

Ilizarov zida - ndi kapangidwe psinjika-chododometsa anafuna akukonzekera yaitali fractures fupa pamene zovekera awo ndi zododometsa (elongation) kapena psinjika (psinjika).

zida ndi dongosolo sitima ongokhala mphete. Izi masipoko atathana kuti kuwonjezera kudzera fupa pa makona a madigiri 90. mphete ndi cholukanalukana mwa ndodo wapadera, amene akhoza kusintha elongation chofunika kapena chidule cha nthambi.

tsogolo

Ilizarov zida (wamba "chipangizo Elizarova") ndi la ntchito kwambiri m'madera ambiri a mankhwala amakono:

- mu zamafupa - kuthetsa zosiyanasiyana zopindika Tizitha kapena kobadwa nako, fupa kufupikitsa ndi nthambi mapindikidwe zoopsa zotsatira (mfundo zabodza molondola zinaphatikizidwa fractures ndi zilema zina);

- mu traumatology - splicing zovuta ndi fractures lotseguka;

- mu Dokotala zamafupa - mu deformations zokhudza zonse chigoba (kukula kuchuluka), miyendo kukhazikika kwa amayesetsa osiyana;

- opaleshoni zokongoletsa - kuonjezera kukula ndi kutalikitsa ntchafu ndi drumsticks, miyendo kutaya kupindika.

Kugwiritsa fractures

Ilizarov zida (kapena "Elizarova zida"), ngakhale ali ndi mamangidwe mwachilungamo wophweka, koma imangokhala irreplaceable mankhwalawa anthu ambiri. Ntchito kapangidwe ka mankhwala wathandiza anthu ambiri mu accretion wa fractures zovuta, kuwongola mafupa opunduka, kukhazikika mapazi.

Popereka chithandizo cha kamangidwe aliyense wovulala ali malekezero a miyezi iwiri. Pambuyo pafupi masabata awiri pa nthambi akhudzidwa ayenera kuperekedwa katundu n'kotheka. Mwachitsanzo, pamene wosweka mwendo wodwala kuyenda ndithu bwinobwino, ndi mkono wosweka - kutenga zinthu zovuta.

processing

kuisamalira kapangidwe chingatithandize kupewa mavuto ambiri ndipo zidzakhudza bwino lipole. Ngati Ilizarov zida (molakwa wotchedwa "zida Elizarova ") pa dzanja, n'zotheka kupita kuvala ku chipatala cha m'dera lathu. Ovuta kwambiri kupezeka malo kuchipatala mwendo wosweka. Pankhaniyi, n'zotheka kuchita chisamaliro zofunika kunyumba wekha.

Kwenikweni chithandizo masipoko tsiku. Spitz nthawi zonse ndi chiwerengero, mpaka mayunitsi 12, motero, kuti zotuluka 24. Aliyense linanena bungwe kusamalira masipoko 50% mowa njira (mowa koyera, kuchepetsedwa mu theka ndi madzi otchezedwa) kapena ochiritsira vodika wabwino.

Ndondomeko asapembedzere kokha pafupi malo analankhula, komanso singano lonse kwathunthu. Pambuyo processing m'malo masipoko linanena bungwe superimposed gauze nsalu, wasambitsa ndi njira ya mowa kapena chlorhexidine.

ntchito mavuto

Kwenikweni, mavuto pamene nthambi odwala akuyamba kuyendetsa katundu. Nthawi zambiri mavuto otani pamene wosweka mwendo pamene wodwala akuyamba kuyenda, chofuna zofewa minofu m'dera la masipoko lapansi. Ilo linayankhula ndi matenda. Nkofunika kuthamanga vuto.

Mu chochitika cha masipoko kuzungulira chotupa cha, redness, ululu, purulent secretions n'kofunika wokakamiza m'dera la kutupa nsalu ankawaviika Dimexidum njira sitimadzipereka mu theka ndi madzi otchezedwa. Pali njira ina - kudzera mwa njira hypertonic (sodium kolorayidi 10%), amene ayenera moisten nsalu ndi kukakamiza anthu padziko yotupa. Hypertonic njira kumathandiza kuchepetsa kutupa, kukoka mafinya. Pamene mavuto yoikidwiratu mankhwala pamodzi ndi Mavalidwe m'deralo.

pambuyo pochotsa

Pambuyo zida za Ilizarov (olakwa - "Elizarova zida") adzakhala anawomberedwa pa malopo kumasulidwa mabala ang'ono kukhala masipoko. Iwo ayenera kusonyezedwa masaka wothandizila kumaliza machiritso. Patapita masiku angapo chilonda omangika, ndi pa ovulalawo kutikita mwendo ingagwiritsidwe ntchito mafuta ndi creams kochotsa edema (Lioton, Troxevasin, Troxerutin ndi ena).